Organization Active NPI

Julie E McNeish DMD MD LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Waterbury, CT
National Provider Identifier
1942077235
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
JULIE E MCNEISH DMD MD LLC
Practice address
650 Chase Pkwy
Waterbury, CT 06708-3046
Phone
(203) 596-7788
NPI assigned
Dec 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Julie Elizabeth McNeish, DMD, MDNPI 1215373063
Title
Partner
Phone
(203) 596-7788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

650 Chase Pkwy
Waterbury, CT 06708-3046

Mailing address

650 Chase Pkwy
Waterbury, CT 06708-3046
Phone (203) 596-7788

Other practice location 1

22 Westfield Ave
Ansonia, CT 06401-1158
Phone (203) 734-2626

National Provider Directory

National Provider Directory

Locations

650 Chase Pkwy
Waterbury, CT 06708
Phone (203) 573-8034

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1942077235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CHASE PKWY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083046",
            "telephone_number": "203-596-7788",
            "fax_number": "203-596-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CHASE PKWY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083046",
            "telephone_number": "203-596-7788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Westfield Ave",
            "address_purpose": "LOCATION",
            "city": "Ansonia",
            "state": "CT",
            "postal_code": "064011158",
            "country_code": "US",
            "telephone_number": "203-734-2626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JULIE E MCNEISH DMD MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "MCNEISH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "203-596-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.